Individual
DR. AYOMIDE IRETI SOTOMI-FOLUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5225
Mailing address
4600 N CLARENDON AVE APT 1405, CHICAGO, IL 60640-5794
(773) 339-7641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.076941
IL
207R00000X
Internal Medicine Physician
ME160590
FL
Other
Enumeration date
08/12/2020
Last updated
09/05/2023
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